Thankfully all is well after my deep plane smas and eye lift and a few other things. A general set of questions I do not see answered on this amazing forum are of a academic nature. And other may be as interested as I am. That is, when the SMAS is repositioned there is a lot of tension on this SMAS. How mechanically is that held into place? Yes, I know with stitches, but to what? How wide an area is stitched? How careful should one be to avoid detaching the SMAS? Is facial massage ok?
Answer: SMAS attachment You are correct that the main fixation for the SMAS flap is sutures, which are fixed to the same SMAS at a higher level. Some surgeons place a lot of sutures that hold the SMAS in an elevated and tightened position and some use two layers of sutures. The sutures are the initial fixation, but over time the SMAS flap heals and scars into position and that is what holds it in place as the sutures, dissolve and disappear. This healing is usually complete 4 to 6 weeks and afterwords facial massages should not be a problem. Best wishes.
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Answer: SMAS attachment You are correct that the main fixation for the SMAS flap is sutures, which are fixed to the same SMAS at a higher level. Some surgeons place a lot of sutures that hold the SMAS in an elevated and tightened position and some use two layers of sutures. The sutures are the initial fixation, but over time the SMAS flap heals and scars into position and that is what holds it in place as the sutures, dissolve and disappear. This healing is usually complete 4 to 6 weeks and afterwords facial massages should not be a problem. Best wishes.
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Answer: SMAS layer The SMAS layer is a strong layer of fascia that helps hold things together. The SMAS is cut, a portion is lifted and moved, and then it is reattached to itself with sutures. Once healed, massage will not damage the fascia.
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Answer: SMAS layer The SMAS layer is a strong layer of fascia that helps hold things together. The SMAS is cut, a portion is lifted and moved, and then it is reattached to itself with sutures. Once healed, massage will not damage the fascia.
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February 5, 2024
Answer: Understanding SMAS Reattachment Techniques in Deep Plane Facelifts Hi, thank you for your question regarding how the SMAS is reattached in a deep plane facelift. Most plastic surgeons use permanent suture to reattach the SMAS, employing multiple different positions and vectors where the sutures are placed. Usually, the permanent sutures are placed in both a horizontal and vertical plane, although some plastic surgeons advocate for an oblique plane. Typically, the SMAS is attached to itself. Some plastic surgeons remove a layer of the SMAS, and the edges of the SMAS are attached. When the SMAS is reattached to itself, the tissues bunch in the area underneath the attachment. This leads to augmentation in that area, which is beneficial for cheek or malar augmentation. Facial massaging will not disrupt these permanent sutures, as they are strong and durable. However, facial massages should be avoided for at least the first two months to ensure optimal healing. I hope this helps answer your question about how the SMAS is reattached after a deep plane facelift. Good luck.
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February 5, 2024
Answer: Understanding SMAS Reattachment Techniques in Deep Plane Facelifts Hi, thank you for your question regarding how the SMAS is reattached in a deep plane facelift. Most plastic surgeons use permanent suture to reattach the SMAS, employing multiple different positions and vectors where the sutures are placed. Usually, the permanent sutures are placed in both a horizontal and vertical plane, although some plastic surgeons advocate for an oblique plane. Typically, the SMAS is attached to itself. Some plastic surgeons remove a layer of the SMAS, and the edges of the SMAS are attached. When the SMAS is reattached to itself, the tissues bunch in the area underneath the attachment. This leads to augmentation in that area, which is beneficial for cheek or malar augmentation. Facial massaging will not disrupt these permanent sutures, as they are strong and durable. However, facial massages should be avoided for at least the first two months to ensure optimal healing. I hope this helps answer your question about how the SMAS is reattached after a deep plane facelift. Good luck.
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October 29, 2023
Answer: Deep Plane Facelift - SMAS suspension Thank you for your question. It is indeed an aspect that benefits from more detailed explanations in particular when people think about how to best look after themselves in the post operative phase.
Helpful 1 person found this helpful
October 29, 2023
Answer: Deep Plane Facelift - SMAS suspension Thank you for your question. It is indeed an aspect that benefits from more detailed explanations in particular when people think about how to best look after themselves in the post operative phase.
Helpful 1 person found this helpful
August 8, 2023
Answer: Deep Plane Facelift After the composite deep plane facelift flap is elevated and ligamentous structures are released, the entire flap is mobile. The SMAS flap is then elevated and secured to more superior and lateral fascia using long acting absorbable monofilament sutures (PDS). Some Surgeons use permanent sutures, but I feel (from experience) that this adds no additional benefit to the procedure and permanent sutures can pose problems with inflammation.
Helpful 1 person found this helpful
August 8, 2023
Answer: Deep Plane Facelift After the composite deep plane facelift flap is elevated and ligamentous structures are released, the entire flap is mobile. The SMAS flap is then elevated and secured to more superior and lateral fascia using long acting absorbable monofilament sutures (PDS). Some Surgeons use permanent sutures, but I feel (from experience) that this adds no additional benefit to the procedure and permanent sutures can pose problems with inflammation.
Helpful 1 person found this helpful
